License holder summary

Shante M. Teague is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Shante M. Teague is South Bend IN 46619. This licensed professional license is not current. The license was granted 12/03/2013 and expired on 06/03/2014.

Indiana

Professional Licensing Agency

Shante M. Teague
Radiology Provisional Permit
License number
XP505109
Date granted
12/03/2013
Date expires
06/03/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
South Bend IN 46619
indianalicensing.org
ID 29207659
LAST UPDATED 2024-01-24 17:59:59 UTC

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